Abstract
Coitus interruptus or withdrawal that involves the male partner "pulling out" before ejaculation has received relatively little research attention particularly in adolescents. The limited data that exist suggest that it is practiced among adolescents yet its prevalence remains unclear. In a research trial developed to test the efficacy of a sexually transmitted infection (STI)/HIV prevention program among black adolescents we were surprised to see extensive use of withdrawal (60% prevalence). Because black adolescents are disproportionately affected by the intersecting epidemics of HIV and other STIs the practice of withdrawal may pose a particular risk practice for this population. Therefore we examined 3 questions: (1) what are the correlates of withdrawal use among black adolescents (2) how widespread is the combined use of withdrawal and condoms and (3) what is the contribution of withdrawal to STI acquisition? (excerpt)
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